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Contact Information

LISA S ANDERSON
260 GATEWAY DR
SUITE 2B
BEL AIR, MD21014-4268
 Phone: 410-803-1510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LISA S ANDERSON · (Female)

NPI # 1417003609
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # LC1130
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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